Evidence map›Paper›PMID 32336475›Full record

ArticleBritish journal of anaesthesia2020

Dynamic changes in rhythmic and arrhythmic neural signatures in the subthalamic nucleus induced by anaesthesia and tracheal intubation.

Yongzhi Huang, Kejia Hu, Alexander L Green, Xin Ma, Martin J Gillies, Shouyan Wang, James J Fitzgerald, Yixin Pan, Sean Martin, Peng Huang and 5 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06400901 (Electrophysiology Based Brain Network Study on Deep Brain Nuclei LFP and Cortical EEG During the Recovery From General Anesthesia), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06400901 recruitingnot on this mapstarted 2024, after this paper: background citation

Electrophysiology Based Brain Network Study on Deep Brain Nuclei LFP and Cortical EEG During the Recovery From General Anesthesia

TypeobservationalSponsorRuijin HospitalRan2024 to 2026Enrolled42ConditionsDeep Brain Stimulation Surgery, Electrophysiology, General Anesthesia, Consciousness, Loss ofArmsNo interventions
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. [Current progress on characteristics of intracranial electrophysiology related to prolonged disorders of consciousness].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 2 countries.

Yongzhi HuangNuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK. Electronic address: yongzhi.huang@nds.ox.ac.uk.
Kejia HuCenter of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Alexander L GreenNuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Xin MaDepartment of Anesthesiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Martin J GilliesNuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Shouyan WangInstitute of Science and Technology for Brain-Inspired Intelligence, Fudan University, Shanghai, China.
James J FitzgeraldNuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Yixin PanCenter of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Sean MartinNuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Peng HuangCenter of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shikun ZhanCenter of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Dianyou LiCenter of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Huiling TanMedical Research Council Brain Network Dynamics Unit at the University of Oxford, Oxford, UK; Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, Oxford, UK. Electronic address: huiling.tan@ndcn.ox.ac.uk.
Tipu Z AzizNuffield Department of Surgical Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Bomin SunCenter of Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: sbm11224@rjh.com.cn.
John Radcliffe Hospital · GBShanghai Jiao Tong University · CNFudan University · CN

Funding

HSRD VA PEC 13-001Medical Research Council MR/P012272/1Wellcome Trust
6 · The paper itself

Abstract

backgroundSubcortical structures, including the basal ganglia, have been proposed to be crucial for arousal, consciousness, and behavioural responsiveness. How the basal ganglia contribute to the loss and recovery of consciousness during anaesthesia has, however, not yet been well characterised.

methodsTwelve patients with advanced Parkinson's disease, who were undergoing deep brain stimulation (DBS) electrode implantation in the subthalamic nucleus (STN), were included in this study. Local field potentials (LFPs) were recorded from the DBS electrodes and EEG was recorded from the scalp during induction of general anaesthesia (with propofol and sufentanil) and during tracheal intubation. Neural signatures of loss of consciousness and of the expected arousal during intubation were sought in the STN and EEG recordings.

resultsPropofol-sufentanil anaesthesia resulted in power increases in delta, theta, and alpha frequencies, and broadband power decreases in higher frequencies in both STN and frontal cortical areas. This was accompanied by increased STN-frontal cortical coherence only in the alpha frequency band (119 [68]%; P=0.0049). We observed temporal activity changes in STN after tracheal intubation, including power increases in high-beta (22-40 Hz) frequency (98 [123]%; P=0.0064) and changes in the power-law exponent in the power spectra at lower frequencies (2-80 Hz), which were not observed in the frontal cortex. During anaesthesia, the dynamic changes in the high-gamma power in STN LFPs correlated with the power-law exponent in the power spectra at lower frequencies (2-80 Hz).

conclusionsApart from similar activity changes in both STN and cortex associated with anaesthesia-induced unresponsiveness, we observed specific neuronal activity changes in the STN in response to the anaesthesia and tracheal intubation. We also show that the power-law exponent in the power spectra in the STN was modulated by tracheal intubation in anaesthesia. Our results support the hypothesis that subcortical nuclei may play an important role in the loss and return of responsiveness.

Indexed as

Anesthesia, GeneralAnesthetics, IntravenousDeep Brain StimulationElectroencephalographyFemaleHumansIntubation, IntratrachealMaleMiddle AgedParkinson DiseasePropofolSubthalamic NucleusSufentanilAnesthetics, IntravenousPropofolSufentanilanaesthesiaconsciousnesselectrophysiologylocal field potentialpower lawpropofolsubthalamic nucleustracheal intubation

Identifiers

PMID32336475
PMCPMC7347416
OpenAlexW3017838053

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.